NPI: 1225247893 · ENGLEWOOD, NJ 07631 · Dentist · NPI assigned 05/21/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 81 | $1K |
| 2019 | 182 | $2K |
| 2020 | 144 | $1K |
| 2021 | 38 | $406.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 85 | 85 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 167 | 161 | $835.00 |
| D0274 | Bitewings - four radiographic images | 52 | 52 | $624.00 |
| D1120 | Prophylaxis - child | 13 | 13 | $585.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $540.00 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 14 | $350.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 102 | 102 | $309.00 |